Juvenile Idiopathic Arthritis/JIA (2)

Question 1

What is this?

How does it present?

What are its associated symptoms?

What condition is it importantly associated with?

Answer 1

N.B. Most common cause of chronic joint pain in children

➊ Autoimmune inflammation of joints lasting 6+ weeks in a pt < 16 yrs w/o any other cause

➋ Joint pain, Swelling and Stiffness

➌ Salmon-coloured pink rash, Vision loss

➍ Chronic Anterior Uveitis

Question 2

What are its subtypes?

Answer 2

• Systemic JIA (Still’s disease) - Salmon-coloured pink rash
• Polyarticular JIA – Inflammation in 5+ joints
• Oligoarticular – Single joint, Anterior uveitis
• Enthesitis-related arthritis – Inflammation at point of muscle insertion
• Juvenile psoriatic arthritis - Psoriasis

Question 3

How is it managed?

Answer 3

• Paediatric rheumatology, with MDT
• NSAIDs, Steroids, DMARDs, Biologics